Individual provider · Type 1 NPI
Clinton C. Moore, DC
Chiropractor · Locust Grove, OK
NPI number
1992813505
Active
Practice location
413 E Main St
Locust Grove, OK 74352
Fax (918) 479-2817
Mailing address
PO Box 1471
Locust Grove, OK 74352-1471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3649 (OK) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1992813505
Clinton C. Moore, DC's National Provider Identifier is 1992813505, issued on Aug 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Locust Grove, OK. The record was last updated on Jul 8, 2007.